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Start by gathering all required documents and information. Carefully read each section before filling it out. Ensure all information is accurate to avoid processing delays.

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How to fill out the Nursing Licensure Compact Application Indiana?

  1. 1

    Gather the necessary documents and information.

  2. 2

    Fill in your personal information on the application.

  3. 3

    Complete the declaration of primary state of residency.

  4. 4

    Answer all questions honestly and provide explanations if needed.

  5. 5

    Review your application before submission.

Who needs the Nursing Licensure Compact Application Indiana?

  1. 1

    Registered Nurses seeking licensure in Indiana.

  2. 2

    Licensed Practical Nurses who wish to practice in Indiana.

  3. 3

    Nurses relocating to Indiana from another state.

  4. 4

    International nurses wanting compact licensure in Indiana.

  5. 5

    Military spouses looking for nursing licensure in Indiana.

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Edit this PDF on PrintFriendly by uploading it directly to the platform. Use the editing tools to fill in required fields and make adjustments. Save your edits as you work to streamline the process.

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    Upload the nursing licensure application PDF.

  2. 2

    Click on the fields to fill them out with your information.

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    Use the toolbar to make edits or add additional comments.

  4. 4

    Review all information for accuracy.

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What are the instructions for submitting this form?

To submit this application, mail it to the Indiana Professional Licensing Agency at 402 West Washington Street, Room W072, Indianapolis, IN 46204. Ensure your payment of $25.00 is included with your submission. For questions, contact the agency at (317) 234-2043 or via email at pla2@pla.IN.gov.

What are the important dates for this form in 2024 and 2025?

For 2024 and 2025, ensure to check for any updates regarding applications and submission deadlines for the nursing licensure. Stay informed about renewal periods and changes in state regulations. Mark your calendars for potential changes in fee structures and deadlines.

importantDates

What is the purpose of this form?

The purpose of this nursing licensure application form is to assess the qualifications and eligibility of nurses wishing to obtain a compact license in Indiana. It provides the necessary guidelines to ensure compliance with state requirements and verifies the professional credentials of applicants. This process helps to maintain the standards of nursing practice and safeguard public health.

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Tell me about this form and its components and fields line-by-line.

The form includes various components necessary for processing the application.
fields
  • 1. Personal Information: Includes full name, address, date of birth, and contact information.
  • 2. License Declaration: Indicates if the applicant is a U.S. citizen or authorized to practice.
  • 3. Legal History: Questions regarding any disciplinary actions or criminal history.
  • 4. Document Verification: Requires proof of primary residency and other supporting documents.
  • 5. Signature: Provides space for applicant's signature and date.

What happens if I fail to submit this form?

Failure to submit this form can result in a denial of licensure or delay in processing your application. It is critical to ensure all required information and fees are submitted on time.

  • Denial of Licensure: Incomplete or incorrect submissions will lead to automatic denial.
  • Processing Delays: Missing information can significantly delay your application.
  • Non-Refundable Fees: Fees paid are non-refundable, so ensure accuracy to avoid loss.

How do I know when to use this form?

You should use this form when applying for a compact nursing license in Indiana. It's also used when changing your primary state of residency to Indiana or renewing your nursing license.
fields
  • 1. New Applicants: For individuals seeking their first nursing license in Indiana.
  • 2. License Renewal: To renew an existing nursing license as needed.
  • 3. Primary State Residency Change: For nurses moving to Indiana from another state.
  • 4. Military Spouses: For spouses of military members stationed in Indiana.
  • 5. International Nurses: For international nurses seeking licensure to practice in Indiana.

Frequently Asked Question

How do I start filling out the application?

Begin by gathering all necessary personal information and required documents.

Can I save my progress while filling out the application?

You can edit the PDF and download it anytime, allowing you to work at your pace.

What if I make a mistake on the application?

You can easily edit the PDF on PrintFriendly to correct any mistakes.

Is there a fee for submitting this application?

Yes, a non-refundable fee of $25 must be submitted with your application.

What documents do I need to provide?

Ensure you have documents proving your primary state of residency and other personal identification.

Do I need to disclose my Social Security number?

Yes, it is mandatory for processing your application.

How long will it take to process my application?

Processing times can vary, but you should expect a response within a few weeks.

Can I apply if I am licensed in another state?

Yes, but you must ensure that Indiana is your primary state of residency.

What if I am a military spouse?

You may be eligible for expedited processing due to your military status.

How can I track the status of my application?

Contact the Indiana Professional Licensing Agency for information regarding your application status.

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Nursing Licensure Compact Application Indiana

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